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General NPI Number Information
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NPI Number | 1023979192
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Entity Type | Organization
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Legal Business Name | RYAN DARR DDS PLLC
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Dates
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Enumeration Date | 11/19/2025
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 3002 H G MOSLEY PKWY
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City | LONGVIEW
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State | TX
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Zip | 75605-2948
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Country | US
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Telephone | 903-758-3191
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Fax | 903-758-3194
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Provider Business Mailing Address
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Address Line | 3002 H G MOSLEY PKWY
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City | LONGVIEW
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State | TX
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Zip | 75605-2948
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Country | US
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Telephone | 903-758-3191
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Fax | 903-758-3194
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. RYAN DARR
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Credential | DDS
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Telephone | 903-758-3191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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